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CHRC News
Vol. 4, No. 4, July 2002
Introduction
This issue of the CHRC News features web
sites in the news, as well as those of special
interest to medical interpreters. CHRC
Project Manager Julie Whelan reports on the
annual meetings of both the Massachusetts
Library Association and the Medical Library
Association.
In the News
New CHRC Rolodex cards are now
available. Please feel free to request some
for your files. Contact information is on the
last page.
Treadwell Staff News
Remarks from Julia Whelan
Senior Outreach Librarian, Treadwell
Library, Massachusetts General Hospital
617-724-2781; jcwhelan@partners.org
Massachusetts Library Association: The
CHRC was one of the exhibitors at the
annual meeting of the Massachusetts Library
Association (MLA) in Falmouth in early
May. The Statewide Legal Reference
Service (SLRS) librarians were kind enough
to share their exhibit space as well as offer
warm hospitality and enthusiastic support.
For some of the many conference attendees
who stopped by the shared table, the
CHRC?s display was an introduction to a
service they either did not know about, or
had heard of but never used. For others, it
was a chance to discuss the service and offer
suggestions. As the new CHRC manager, I
am particularly interested in feedback both
positive and negative, so that we can work to
improve our service. I learned from several
visitors that they find the e-mail messages I
have sent out listing new web resources
particularly helpful. However, when I
offered to send out more of these messages,
the suggestion was greeted with chuckles
and the comment that the current frequency
was just about right. I am currently
arranging our fall workshops so I look
forward to seeing many of our users during
these upcoming sessions.
Medical Library Association: The second
MLA involved a trip to Dallas for the annual
meeting of the Medical Library Association
(MLA). This is a forum where the National
Library of Medicine (NLM) gives its annual
report and outlines priorities and plans for
the coming year. NLM continues to
emphasize consumer health information as a
top priority. Future programs will
particularly focus on reaching special
populations including ethnic groups,
geographic groups (a project on Arctic
Health is an example) and developing
materials in non-English languages.
Outreach to rural and inner city populations
continues to be a major goal.
Consumer Health Topics at MLA:
Consumer health presentations at MLA
focused on four main categories: providing
AIDS/HIV information, providing
information on genetic testing to consumers,
outreach to rural populations and
partnerships between medical and public
libraries.
Senior Citizens: Recent studies indicate that
senior citizens are the demographic group
most frequently looking for health
information on the web. In response to these
findings, NLM joined with the National
Institute on Aging (NIA) and the National
Institutes on Health (NIH) to produce a
special resource called NIH Senior Health,
http://nihseniorhealth.gov/. Research from
the NIA informed the design of this easy-to-
navigate site and selection of its content,
including large print and short, easy-to-read
segments of information. Material on the
site is presented in a way that increases the
likelihood it will be retained in memory. To
that end, the first topics offered are
Alzheimer?s disease, caring for someone
with Alzheimer?s Disease, and exercise for
older adults. For related information, see
Making Your Web Site Senior Friendly
elsewhere in this issue.
Genetics Information: Dr. Angela
Scheuerle, Medical Director of the Texas
Birth Defects Research Center, described her
evaluative study of the wide variety of
information on genetics available to
consumers. On the web, some professional
organizations provide in-depth information
of excellent quality. However, other web
sites, primarily hosted by individual doctors,
are often outdated and in some instances
give incorrect information. There are several
excellent print texts, many of them produced
by advocacy and parent groups. While web
bulletin boards and chat rooms are often
positive sources of patient support, they
should present a balance of positive and
negative experiences that reflects actual
treatment outcomes. This study indicated
that anecdotal information is dominated by
negative accounts. It appears that patients
who feel cheated, uninformed or mistreated
use these forums to vent their frustrations,
while people who are coping well do not
seem to be using the media as heavily.
Both MLA meetings succeeded in providing
stimulating topics for investigation, contact
with colleagues, and rejuvenated enthusiasm
for library work.
Web sites in the News
Healthnet: Connecticut Consumer
Health Information Network
http://library.uchc.edu/departm/hnet/rbcu
rrentresearch.html
This excellent site from the Lyman
Maynard Stowe Library at the University
of Connecticut Health Center -
Farmington has recently added tips to
help consumers carry out their own
research on the Internet. Some of the
unique features of this site include: how
to research information on a disease or
medical condition using selected
resources, how to locate information on
health care providers, and how to
evaluate web sites.
Introduction to Herbal Supplements
http://www.mcp.edu/rc/citpc/herbs/
As part of CHRC Project Manager Julie
Whelan?s 1999 National Networks of
Libraries of Medicine (NN/LM) outreach
grant, she worked with colleagues for two
years to created web-based education
programs on complementary medicine.
Recently made available on the web, this site
covers a wide range of information about
herbs in general and detailed information
about ten major herbal supplements. The
site includes a history of herbal supplements
from a variety of healing traditions,
instructions on reading a supplement label, a
partial list of drug interactions, herbs to
avoid in pregnancy, and annotated links.
Knowledge Path: Children with Special
Health Care Needs (NCEMCH)
http://www.ncemch.org/CSHCN/TOC.htm
The National Center for Education in
Maternal and Child Health (NCEMCH),
based at Georgetown University, is funded
by the U.S. Department of Health and
Human Service. It provides national
leadership to the maternal and child health
community in program development,
education, and state-of-the-art knowledge, to
improve the health and well being of
children and families. Section One of the
Knowledge Path contains links to general
resources including organizations, web
resources, medical reference books,
directories, bibliographies, and other print
publications, as well as tools for identifying
additional resources. Section Two focuses
on practical resources to assist families and
other caregivers in providing the best care
for children with special health care needs.
NCEMCH also includes MCHLine, a
database containing pamphlets, fact sheets,
books and journal articles, available at
http://www.ncemch.org/databases/MCHLine
Search.lasso. Each record includes an
abstract, subject heading, and full ordering
information. Knowledge Paths on related
topics are available at
http://www.ncemch.org/RefDes/knowledge_
path.html.
Making Your Web Site Senior Friendly
http://www.nlm.nih.gov/pubs/checklist.pdf
Produced by NIA and NLM, this 15 page
PDF document focuses on goals to keep in
mind when developing a site that can easily
be used by senior citizens. There is also an
extensive bibliography. According ?Wired
Seniors? a recent report by the Pew Internet
& American Life Project,
http://www.pewinternet.org/reports/pdfs/PIP
_Wired_Seniors_Report.pdf, ?Neither
income level nor educational attainment
makes much difference in whether or not
seniors seek out health information.
However, experience with the Internet does
make a difference.? Of those who have had
three or more years? experience online, 65%
have searched for medical advice online.
Patient Education Resource Center
(PERC)
http://www.cancer.med.umich.edu/learn/lear
es.htm
The CHRC is often called upon to answer
questions about cancer diagnosis and
treatment in non-technical language. This is
easy enough for general information on
commonly found tumors, but much more
difficult for less frequently encountered
cancer types. The Spring, 2002 issue of the
Cancer Librarians Section News
http://www.selu.com/cancerlib/spring%2020
02%20newsletter.pdf contains an article,
?Beyond ?Cancer 101?: The Librarian?s
Challenge? that discusses this problem, and
describes readable, reliable, but unindexed
publications. Some of these publications are
available full-text on the web. Librarians at
the Patient Education Resource Center
(PERC) located at the Comprehensive
Cancer Center, University of Michigan have
selectively indexed seventeen newsletters,
listed in an appendix to ?Beyond ?Cancer
101? ? and three cancer magazines: Mamm,
InTouch, and Coping with Cancer. Search
the PERC catalog by keyword (truncate for
variant endings with an asterisk), author, and
subject at
http://perc.cancer.med.umich.edu/winnebago
/index.asp The PERC catalog does not
provide links to full-text articles.
TalkingQuality.gov
http://www.talkingquality.gov/default.html
The purpose of TalkingQuality is to offer
expert advice and suggest approaches to
dealing with the task of developing and
distributing health care information that
consumers can understand and use. It is
designed to be a comprehensive guide for
organizations that are developing reports for
consumers about health care quality. Its
goal is to serve as an educational resource
for those relatively new to this task, as well
as a reference for anyone looking for
information on specific topics related to
quality reports or examples of different
approaches to reporting data. The site also
offers a planning tool to help report
designers work through all of the steps
involved in generating an effective report.
This excellent site is sponsored by several
government agencies including the Agency
for Healthcare Research and Quality
(AHRQ).
MEDICAL INTERPRETERS
Hospital-Based Interpreter Services
http://www.state.ma.us/dph/omh/interp/inter
preter.htm
This site, from the Massachusetts
Department of Public Health, includes
information in PDF format on new
legislation. Links include community
language banks and commercial local
interpreter services, telephonic interpreter
services, and links to non-English language
sites.
Massachusetts Medical Interpreters
Association (MMIA)
http://www.diversityrx.org/HTML/MOASS
A.htm
The purpose of this 350+ member
organization includes defining educational
requirements and qualifications for medical
interpreters, establishing professional
standards of practice and norms of medical
interpretation, and promoting the
establishment of professional interpretation
services and the use of professional
translation by medical institutions and
related agencies. The site also includes
links to other organizations.
What a Difference an Interpreter Can
Make: Health Care Experiences of
Uninsured with Limited English
Proficiency
http://www.accessproject.org/downloads/
c_LEPreportENG.pdf
The findings in this 16 page PDF document,
published by The Access Project, a
program of the Center for Community
Health Research and Action of the Heller
School for Social Policy and Management at
Brandeis, indicate that uninsured
respondents with limited English proficiency
who have access to an interpreter have
strikingly better experiences in a wide range
of areas, including ability to understand
medication instructions, ability to get
financial assistance to pay for care, and
overall satisfaction with their health care
encounter, compared to those who did not
have an interpreter.
CHRC Reviews: In Print
The first year -- IBS (irritable bowel
syndrome) : an essential guide for the
newly diagnosed / Heather Van Vorous ;
foreword by David B. Posner / New York
/ Marlowe / Distributed by Publishers
Group West / 2001. The author, a food
writer who has suffered from IBS for over
two decades, offers straightforward advice,
personal stories, coping strategies, and the
always sought-after recipes. There are
chapters on both prescription drugs and
alternative medicine, and how to eat safely
when not at home.
The Gale encyclopedia of genetic
disorders / Stacey L. Blachford, editor /
Detroit / Gale Group / 2002. This is an
impressive two-volume reference source
covering 400 diseases and conditions of
genetic origin. Every entry includes
definition, description, genetic profile,
demographics, signs and symptoms,
diagnosis, treatment, prognosis, and
resources (references to one or more medical
books or journal articles, web sites and
organizations). There is judicious use of
color illustrations and pedigree charts.
There is an index and see references. It
should be remembered that less frequently
encountered genetic diseases are not covered
in this otherwise excellent source. Please
don?t hesitate to contact the CHRC for
assistance in locating information about
these rare diseases.
The OASIS guide to Asperger syndrome :
advice, support, insights, and inspiration /
Patricia Romanowski Bashe and Barbara
L. Kirby ; foreword by Tony Attwood /
New York / Crown Publishers / 2001. Co-
author Kirby is founder of the Online
Asperger Syndrome Information and
Support Web Site (OASIS). This is a very
readable, comprehensive book for anyone,
whether parent, educator, or general reader,
covering every aspect of Asperger
Syndrome (AS). There are chapters ranging
from medication to legal issues, coping
strategies for parents, friendship skills for
children, bullying, and developmental
issues. There is a sample ?letter of
introduction? for AS children entering a
school system, also available on the
extensive OASIS web site,
http://www.aspergersyndrome.org/ (click on
?Education?).
Parkinson's disease : a complete guide for
patients and families / William J. Weiner,
Lisa M. Shulman, Anthony E. Lang /
Baltimore / Johns Hopkins University Press
/ 2001. The authors, all physicians and
experts in the field, state that they have
?delineated the common problems
associated with the early, middle and
advanced stages of Parkinson?s disease? and
each problem is discussed in detail. The
authors offer suggestions on how to better
live with these problems, and have reviewed
many of the common non-motor symptoms
that can occur with Parkinson?s. There are
chapters covering drug and surgical
interventions. There is also a list of
frequently asked questions and answers as
well as an annotated resource list.
What would you like to see covered in the
CHRC News? Please don?t hesitate to tell
us!
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CHRC Contact Information
Tel: 1-877-MEDI-REF (1-877-633-4733)
or 617-726-8600
Fax: 617-726-6784
E-mail:
treadwellqanda@partners.org
or treadwellqanda@partners.org
Consumer Health Reference Center
Treadwell Library
Bartlett Hall Extension 1
Massachusetts General Hospital
Boston, MA 02114.
http://www.mgh.harvard.edu/library/chrcindex.html
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